Organization Active NPI

Gorge NP Partners PC

  • Nurse Practitioner
  • The Dalles, OR
National Provider Identifier
1780128165
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
GORGE NP PARTNERS PC
Practice address
1210 Dry Hollow Rd Ste 4
The Dalles, OR 97058-3167
Phone
(541) 296-4804
Fax
(541) 296-3741
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valerie Ann Hiveley-Blatz, GNPNPI 1902824626
Title
Owner
Phone
(541) 296-4804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1210 Dry Hollow Rd Ste 4
The Dalles, OR 97058-3167

Mailing address

1015 Webber St Ste 100
The Dalles, OR 97058-3527
Phone (541) 296-4804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180621000922 OR Part B Supplier - Clinic/Group Practice 7911252622 Receives reassigned benefits from 2 practitioners
Practice locations: The Dalles, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2086947Gorge NP Partners, PC1210 Dry Hollow Rd Suite 4, The Dalles, OR 97058Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory

Locations

1210 Dry Hollow Rd
Ste 4
The Dalles, OR 97058
Phone (541) 240-8938

1015 Webber St
Ste 100
The Dalles, OR 97058
Phone (541) 296-4804

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1780128165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WEBBER ST STE 100",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583527",
            "telephone_number": "541-296-4804",
            "fax_number": "541-296-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 DRY HOLLOW RD STE 4",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583167",
            "telephone_number": "541-296-4804",
            "fax_number": "541-296-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORGE NP PARTNERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "HIVELEY-BLATZ",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-296-4804",
        "authorized_official_credential": "GNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.